Organization
OASIS GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENAVIDES EUSEBIO TORRENO (OWNER/MANAGER)
(602) 516-4492
Entity
Organization
Contact information
Practice address
2206 W. SPUR DR., PHOENIX, AZ 85085-5752
(602) 516-4492
(623) 234-8284
Mailing address
2206 W. SPUR DR., PHOENIX, AZ 85085-5752
(602) 516-4492
(623) 234-8284
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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